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目的:了解冠心病、高血压住院患者糖代谢异常的状况。方法:对符合冠心病、高血压诊断标准的心内科住院患者连续入选,共497例进行葡萄糖耐量试验。结果:总的糖代谢异常率60.6%。糖尿病患病率为24.4%,糖调节受损患病率为36.2%。糖调节受损中绝大多数(96.1%)为单纯糖耐量受损。冠心病伴高血压时,糖代谢异常发生率明显高于单纯高血压、单纯冠心病。结论:冠心病、高血压住院患者半数以上并发糖代谢异常,两病并存时糖代谢异常明显升高。
Objective: To understand the status of patients with coronary heart disease and hypertension with abnormal glucose metabolism. Methods: In-hospital cardiologists who met the diagnostic criteria of coronary heart disease and hypertension were enrolled in succession. A total of 497 patients underwent glucose tolerance test. Results: The total rate of abnormal glucose metabolism was 60.6%. The prevalence of diabetes was 24.4% and the prevalence of impaired glucose regulation was 36.2%. The vast majority of impaired glucose regulation (96.1%) were impaired glucose tolerance alone. Coronary heart disease with hypertension, the incidence of abnormal glucose metabolism was significantly higher than simple hypertension, simple coronary heart disease. Conclusion: More than half of patients with coronary heart disease and hypertension complicated with abnormal glucose metabolism, abnormal glucose metabolism was significantly increased when the two diseases coexist.